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Individual
MRS. CONNIE SUE KENDALL
Active
Individual
MRS. CONNIE SUE KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
70000714A
IN
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
70000174A
IN
364SP0811X
Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
70000174A
IN
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
70000174A
IN
364SR0400X
Rehabilitation Clinical Nurse Specialist
70000174A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
05
—
200852470
—
IN
Enumeration date
08/05/2006
Last updated
05/01/2008
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